scholarly journals Ambulatory (AASI), but not home (HASI), arterial stiffness index is associated with aortic pulse wave velocity

2010 ◽  
Vol 34 (3) ◽  
pp. 402-403 ◽  
Author(s):  
Ting-Yan Xu ◽  
Yan Li ◽  
Wang-Xiang Fan ◽  
Fa-Hong Li ◽  
Jun Zou ◽  
...  
2012 ◽  
Vol 18 (6) ◽  
pp. 497-504
Author(s):  
K. V. Protasov ◽  
O. V. Fedorishina

Objective. To investigate the prevalence, clinical features and markers of resistant isolated systolic hypertension (ISH) in elderly patients. Design and methods. 261 patients with essential arterial hypertension (AH) and mean age of 73,2 ± 7,2 were included into the study. Resistant AH was diagnosed both by the office BP and ABPM criteria. We detected and compared the ABPM parameters, myocardial, vessels and renal damage signs in the resistant ISH group with those of resistant systolic-diastolic hypertension (SDH) and controlled AH groups. Factors reliably associated with resistant ISH development were revealed by logistic regression. Results and conclusion. The resistant ISH was detected by office BP in 11,8 % and by ABPM in 12,2 % of elderly patients. The resistant SDH was diagnosed in 13,6 and 5,4 % respectively. The «white-coat» effect was found in 30,4 %. In patients with resistant ISH the systolic BP variability, Sokolow-Lyon voltage index, left ventricular ejection fraction decrease occurrence and ambulatory arterial stiffness index were greater than in the compared groups. In comparison to controlled AH the aortic pulse wave velocity was higher while ankle-brachial index was lower. We found the markers of resistant ISH to be systolic BP variability, aortic pulse wave velocity and ambulatory arterial stiffness index.


2010 ◽  
Vol 33 (12) ◽  
pp. 1272-1277 ◽  
Author(s):  
George S Stergiou ◽  
Anastasios Kollias ◽  
Periklis P Giovas ◽  
John Papagiannis ◽  
Leonidas G Roussias

2016 ◽  
Vol 97 (1) ◽  
pp. 5-12
Author(s):  
L A Panchenkova ◽  
Kh A Khamidova ◽  
M O Shelkovnikova ◽  
T E Yurkova ◽  
N V Rassudova ◽  
...  

Aim. To evaluate 24-hour dynamics of the arterial stiffness main indicators in patients with arterial hypertension associated with metabolic syndrome, coronary heart disease and type 2 diabetes mellitus.Methods. The study included 54 patients with hypertension, who formed main groups: the first group - 17 patients with hypertension amid the metabolic syndrome, the second - 21 patients with metabolic syndrome and coronary heart disease, the third group - 16 patients with hypertension and type 2 diabetes mellitus. All patients underwent the vascular stiffness parameters study using a multifunctional complex for the 24-hour monitoring and office measurements of blood pressure and vessels condition. At the same time blood pressure, cardiac function and vascular stiffness indicators were examined: PWVao - pulse wave velocity in the aorta (m/s); PWTT - the pulse wave transit time (m/s); Aix - augmentation index (%); Asi - the arterial stiffness index. (mmHg).Results. When comparing the 24-hour arterial stiffness dynamics indicators, changes were found in all main patients groups compared to the healthy group. Thus, a statistically significant increase in the pulse wave velocity in the aorta (PWVao) in all groups of patients compared with the control group, a decrease in the index of the pulse wave transit time (PWTT) in all main groups of patients and a significant increase in arterial stiffness index (Asi) were found. When assessing the results of arterial stiffness monitoring at night time significantly larger values of the pulse wave velocity in the aorta were observed in patients with the metabolic syndrome and combination of metabolic syndrome and coronary heart disease. The obtained data are indicative of improvement in vascular stiffness indicators at night time in healthy individuals group, as well as maintaining a high degree of the vascular wall stiffness both in the night and in the daytime in a group of examined patients, especially in groups with the metabolic syndrome, and a combination of metabolic syndrome and coronary heart disease.Conclusion. 24-hour monitoring of vascular stiffness indicators in comorbid patients have revealed variability of the main indicators during the day; such arterial stiffness indicators as the pulse wave transit time, pulse wave velocity in the aorta, the arterial stiffness index, augmentation index can be used to assess early signs of the major arteries remodeling.


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